Urination - nui loa

ʻO ka nui o ka urination ʻoi aku ka nui o kou kino ma mua o ka nui o ka mimi i kēlā me kēia lā.

ʻO ka nui o ka urination no kahi makua ma mua o 2.5 liters o ka mimi i kēlā me kēia lā. Eia nō naʻe, hiki i kēia ke ʻokoʻa ke kaukaʻi i ka nui o ka wai āu e inu ai a he aha kāu wai kino piha. ʻOkoʻa kēia pilikia mai ka pono e mimi pinepine.

ʻO Polyuria kahi hōʻailona maʻamau. ʻIke pinepine ka poʻe i ka pilikia ke ala lākou i ka pō e hoʻohana i ka lua (nocturia).

ʻO kekahi mau kumu maʻamau o nā pilikia:

• Insipidus diabetes
• Diabetes mellitus
• Ke inu nei i ka nui o ka wai

ʻO nā kumu maʻamau ʻole ka:

• Hewa ʻole nā ​​hakuʻala
• ʻO nā lāʻau e like me diuretics a me lithium
• ʻO ke kiʻekiʻe o ka calcium a haʻahaʻa paha i ke kino
• Ka inu rama a me ka caffeine
• Anemia maʻi maʻi maʻi

Eia kekahi, hoʻonui paha kāu hana mimi no 24 mau hola ma hope o ka loaʻa ʻana o nā hoʻokolohua e pili ana i ka hoʻopili ʻana i kahi kala kūikawā (medium medium) i loko o kou aa i ka wā o nā hoʻokolohua kiʻi e like me ka scan CT a i ʻole kahi scan MRI.

No ka nānā ʻana i kāu puka mimi, e mālama i kahi moʻolelo o kēlā me kēia lā:

• Ehia a me nā mea āu e inu ai
• Ehia mau manawa āu e mimi ai a me ka nui o ka mimi āu e hana ai i kēlā me kēia manawa
• Ehia mau kaupaona (e hoʻohana i ka pālākiō i kēlā me kēia lā)

Kāhea i kāu mea mālama ola inā loaʻa nui ka urination ma luna o kekahi mau lā, a ʻaʻole ia e wehewehe ʻia e nā lāʻau āu e lawe ai a e inu ai paha i nā wai.

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e like me:

• I ka manawa hea i hoʻomaka ai ka pilikia a ua loli paha i ka hala ʻana o ka manawa?
• Ehia mau manawa āu e mimi ai i ke ao a me ka pō? E ala aʻe ʻoe i ka pō e mimi?
• He pilikia paha kāu e kaohi ana i kou mimi?
• He aha ka mea e ʻino ai ka pilikia? ʻOi aku ka maikaʻi?
• Ua ʻike anei ʻoe i kekahi koko i kāu mimi a i ʻole hoʻololi i ke kala mimi?
• Loaʻa iā ʻoe nā hōʻailona ʻē aʻe (e like me ka ʻeha, ka wela ʻana, ke kuni, a me ka ʻeha o ka ʻōpū)?
• Loaʻa iā ʻoe kahi moʻaukala o ka maʻi diabetes, nā maʻi ʻōpū, a i ʻole nā ​​maʻi urinary?
• He aha nā lāʻau e lawe ai?
• Ehia mau paʻakai āu e ʻai ai? Inu ʻoe i ka waiʻona a me ka caffeine?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Hōʻoia ke kō kō (glucose)
• Hōʻike ʻenehana nitrogen urea
• Creatinine (serum)
• Electrolytes (serum)
• Hōʻike hoʻoliʻiliʻi Fluid (ka palena ʻana i nā wai e ʻike inā e emi ka mimi)
• Hōʻike koko Osmolality
• Urinalysis
• Hōʻike osmolality mimi
• 24-hola mimi hoʻāʻo

Poliuria

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne

ʻO Gerber GS, Brendler CB. Ka loiloi o ka mea hoʻomanawanui urologic: mōʻaukala, hoʻokolokolo kino, a me ka urinalysis. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 1.

Landry DW, Bazari H. Ke hoʻokokoke aku i ka mea maʻi me ka maʻi hōʻeha. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 106.